Shinka Reiki Certification Signup

(If you are applying for a Private Class, please include a few possible options with time range. Private Classes are available from 11am-9:30pm daily so you may book for your after work hours too.)

Your Name＊

Email＊

Phone＊

Date of Birth

Occupation

(For Reiki 1 applicant)
Have you ever had a Reiki treatment?

If yes, how many times? If no and if you would like to schedule your Reiki heailng session with Lumie, when would you like?

(For Reiki 2, 3, 4 applicant)

If you didn’t take your current Reiki level with Lumie, when and where did you take your previous Reiki class(es)? Please include your teacher's name and upload a photo/scanned file of your Certificate below or email at salondereiki@gmail.com.

Upload Image

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How did you originally become interested in Reiki? (Feel free to include any questions & message.)＊

If you've already been attuned, how have you been enjoying Reiki?

How did you reach this Web site?

Payment preference＊

Prepayment in full (PayPal)

Deposit (PayPal) & on the day (check or cash)

Upon signing up＊

I understand and agree to the following:

[Lumié does not diagnose conditions, nor does she prescribe substances or perform medical treatment, nor interfere with the treatment of a licensed medical professional. Energy work/healing session is not a substitute for medical care. It is recommended that you see a licensed physician, or licensed health care professional for any physical or psychological ailment you may have.]